Cardiac asthma or bronchial asthma: a case report

Authors

  • Dewa Ayu Rina Wiana Dewi Wangaya General Hospital, Denpasar, Bali, Indonesia
  • Ketut Suryana Wangaya General Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.18203/2349-3933.ijam20221368

Keywords:

Wheezing, Cardiac asthma, Pulmonary edema, Heart failure

Abstract

Wheezing is often found in patients with asthma bronchiale but wheezing may also be found in paroxysmal nocturnal dyspnea and pulmonary edema (cardiac asthma). Cardiac asthma has been used to explain wheezing and airflow obstruction due to heart failure (HF). The respiratory symptoms such as wheezing, shortness of breath and cough. These symptoms normally occur at night and are common in elderly. Both asthma bronchiale and cardiac asthma are important to diagnose because treatments for asthma bronchiale and HF are different. Here we presented a case report of a 59-years old female diagnosed with cardiac asthma due to heart failure. Cardiac asthma defined as congestive heart failure (CHF) associated with wheezing represents one third of CHF in elderly patients. It is often confused with asthma and exercise-induced bronchospasm. These diseases have different therapies. Cardiac asthma using diuretics and asthma using bronchodilator therapy. CHF can lead to pulmonary congestion and pulmonary edema (PE), and this is classically thought to be the primary cause of cardiac asthma. Current management of cardiac asthma focuses on controlling the underlying HF and PE.

Author Biographies

Dewa Ayu Rina Wiana Dewi, Wangaya General Hospital, Denpasar, Bali, Indonesia

General Practioner

Ketut Suryana, Wangaya General Hospital, Denpasar, Bali, Indonesia

Imunologist, Department of Internal Medicine; Merpati Clinic; HIV;and Allergy;-Clinical Immunology Services Unit, Wangaya Hospital

References

Litzinger MHJ, Aluyen JKN, Cereceres R, Feik AN, Iltis KE, Perez CR, et al. Cardiac Asthma: Not Your Typical Asthma. US Pharm. 2013;38(2).

Tanabe T, Kanoh S, Moskowitz WB, Rubin BK. Cardiac Asthma Transforming Growth Factor- b From the Failing Heart Leads to Squamous Metaplasia in Human Airway Cells and in the Murine Lung. Chest. 2012;142(5):1274-83.

Buckner K. Cardiac Asthma. Immunol Allergy. Clin N Am. 2013;33-44.

Chahine J, Alvey H. Left Ventricular Failure. Treasure Island, FL: StatPearls Publishing; 2021.

Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;62(16):147-239.

Interiano B, Hyde RW, Hodges M, Yu PN. Interrelation between alterations in pulmonary mechanics and hemodynamics in acute myocardial infarction. J Clin Invest. 1973;52(8):1994-2006.

Chen ZH, Jiang YR, Peng JQ, Ding JW, Li S, Yang J, Wu H, Yang J. Clinical effects of combined treatment by optimal dose of furosemide and spironolactone on diastolic heart failure in elderly patients. Exp Ther Med. 2016;11(3):890-4.

Downloads

Published

2022-05-24

Issue

Section

Case Reports